By Richard E. Chard
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Extra info for The Mediating Effects of Public Opinion on Public Policy: Exporing the Realm of Health Care
Sample text
Substantively, these concepts are used to examine specific questions. Specifically, how did the Clinton Health Security Act fail despite a very promising debut in September 1993 when, as Jacobs and Shapiro (2000) have noted, “independent polls reported that nearly 60 percent favored Clinton’s plan. . Gallup surveys showed that . . Democrats supported it overwhelmingly (83 percent to 13 percent) and a majority of independents also backed it (55 percent to 34 percent)” (pp. 133–134)? Chapter 3 Path Dependence and Policy Change Examining Public Mood and Federal Spending INTRODUCTION The focus of this chapter is on whether public opinion, specifically the public mood, translates into changes in federal health care spending.
What happened next was a transformation of public opinion. As Schneider and Ingram (1993) note, “[S]ocial constructions are manipulated and used by public officials, the media, and the groups themselves. New target groups are created, and images are developed for them; old groups are reconfigured or new images created” (p. 342). With a forceful and popular advocate in the White House (see chapter 4), public opinion moved in favor of health care provision for the elderly under the societal right metaphor.
Democrats supported it overwhelmingly (83 percent to 13 percent) and a majority of independents also backed it (55 percent to 34 percent)” (pp. 133–134)? Chapter 3 Path Dependence and Policy Change Examining Public Mood and Federal Spending INTRODUCTION The focus of this chapter is on whether public opinion, specifically the public mood, translates into changes in federal health care spending. Budgets represent an ideal model for a path dependent system. Generally speaking, last year’s budget was the best predictor of this year’s budget which is, of course, the best predictor of next year’s budget, and so it goes into eternity unless something occurs to change it.